《兽医科学前沿》01 frontiersin.org 英国和爱尔兰一个大型多站点兽医网络中自愿报告的犬猫咬伤事件的流行病学 Rachel Malkani *、David Singleton、David Martin、Marian Vinke、Laura Playforth、Michaela Collis 和 James A. Oxley IVC Evidensia,英国布里斯托 引言:犬猫咬伤是兽医执业中的一种职业风险。尽管如此,探索此类事件的发生情况及细节的研究极少。方法:本研究旨在利用英国一个大型兽医集团现有的不良事件和未遂事件报告系统,探讨犬猫咬伤报告的发生率及此类事件的相关细节。结果:从2024年1月至2025年10月,识别出覆盖英国和爱尔兰所有诊所(>1,000家)的犬猫咬伤事件。共报告犬咬伤2,327例(1,239例;53.24%)和猫咬伤1,088例(46.76%)。犬咬伤(63.0%)和猫咬伤(80.6%)最常见的解剖部位均报告为手和手指。猫(77.96%)和犬(80.60%)的大多数咬伤发生在上午9点至下午6点之间。诊所内咬伤发生的地点因工作人员而异,兽医最常在诊室被咬伤,而非兽医人员最常在准备区被咬伤。关于所感知的行为,报告中“攻击性”一词使用最为频繁。结论:总之,本报告突出了犬猫咬伤相关伤害的常见发生,并提供了对相关因素的见解。需要考虑降低咬伤的因素,如低应激操作、环境适应以及鼓励增进动物行为学知识。需要做更多工作来帮助事件报告,纳入人类行为改变方法和教育以预防咬伤事件。关键词:咬伤,猫,犬,伤害,安全,兽医 1 引言 兽医行业内的伤害司空见惯,以至于此类事件常被兽医工作人员视为常态、预期之中或“工作的一部分”(1–4)。在兽医工作人员所遭受的动物相关伤害中,犬猫咬伤在多个国家一直被报告为最常见的类型[例如,英国(4)、美国(5)、澳大利亚(6–8)]。在英国,Tulloch等人(4)调查了来自一家大型连锁兽医诊所的647名兽医专业人员,发现兽医护士和兽医外科医生近期经历的最常见和最严重的动物伤害均为犬猫咬伤。尽管如此,最近Tulloch等人(9)审计了一家大型兽医连锁机构的事故报告系统,发现在英国 类型:原创研究 发表:2026年10月06日 DOI 10.3389/fvets.2026.1916141 开放获取 编辑:Grace A. Carroll,贝尔法斯特女王大学,英国 审稿:Oneida Castañeda-Porras,SMC-AS调查部,哥伦比亚;Imen Mehri Turki,创伤与烧伤中心,突尼斯;Natalia Casas,卫生部(阿根廷),阿根廷 *通讯作者:Rachel Malkani rachel.malkani@ivcevidensia.com 收稿:2026年6月22日 修回:2026年9月11日 接受:2026年9月21日 发表:2026年10月06日 引用:Malkani R, Singleton D, Martin D, Vinke M, Playforth L, Collis M and Oxley JA (2026) Epidemiology of voluntarily reported dog and cat bite incidents in a large-scale, multi-site veterinary network in the UK and Ireland. Front. Vet. Sci. 13:1916141. doi: 10.3389/fvets.2026.1916141 版权:© 2026 Malkani, Singleton, Martin, Vinke, Playforth, Collis and Oxley。这是一篇根据知识共享署名许可(CC BY)条款分发的开放获取文章。允许在其他论坛中使用、分发或复制,前提是注明原作者和版权所有者,并按照公认的学术惯例引用本期刊的原始出版物。不符合这些条款的使用、分发或复制均不予许可。
Malkani等 10.3389/fvets.2026.1916141 Frontiers in Veterinary Science 02frontiersin.org 大多数伤害(每100起中有69起)未被报告,凸显了进一步研究、教育、行为改变和培训的必要性。这种漏报表明,咬伤的真实频率和伤害特征可能未被完全了解。犬咬伤的直接后果,取决于咬伤/伤害的定义或认知及具体情境(3, 10, 11),可以从轻微伤害(皮肤瘀伤)到严重或致命伤害(12, 13)。对兽医团队成员的犬咬伤还可能导致误工、收入损失、法律后果和/或心理健康影响(如创伤、失去信心、焦虑/恐惧加剧)(4, 14)。这些影响凸显了不仅了解咬伤事件的发生情况,而且了解其发生情境的重要性。多种动物因素、操作因素和人为因素可能增加临床内兽医团队成员遭受咬伤伤害的风险。首先,犬即使在进入诊室之前就可能处于恐惧或疼痛状态(11)。在诊室内,可能需要进行近距离(如体格检查、保定/约束)和/或侵入性操作(如采血、麻醉、戴嘴套),引起恐惧、应激和/或疼痛,可能进一步增加咬伤伤害风险(11)。此外,研究发现动物经验较少的员工犬咬伤和动物相关伤害的风险更高(7, 15)。可以采取一系列措施来帮助降低犬猫咬伤伤害的风险,例如增进对动物行为和肢体语言的理解、确保减少候诊室和诊室的环境应激源(如噪音、气味、地板等)、避免候诊室内动物同类间的近距离接触(如通过设计)、以及使用适当的保定/约束方法,包括防护设备如嘴套和包裹巾(16)。然而,由于每只动物之间存在相当大的个体差异,且无法直接确定其经历,因此难以确定咬伤的唯一原因。相反,多种应激源的累积影响可能很重要,咬伤阈值因情境和唤醒水平而异。尽管犬猫咬伤在兽医实践中很常见,但仅关注兽医行业内犬猫咬伤发生情况的研究有限。因此,作者旨在回顾兽医团队成员提交的犬猫咬伤报告,这些报告通过大型兽医连锁机构的事件和未遂事件报告系统收集。更具体地说,我们采用定量和定性方法,旨在了解涉及的团队成员角色、事件发生的时间和地点、事件发生时正在进行的操作,以及团队成员用于描述动物行为的语言。最后,基于研究结果,作者还建议未来对报告系统进行更改以改善报告,并讨论鼓励在诊所层面报告伤害的额外信息。此外,我们还就推进动物行为学知识、低应激保定方法以及对环境的适应提出了建议。2 材料与方法 2.1 伤害数据 从兽医连锁机构的报告网站'Assure'(版本:36.2.473.0)下载了2024年1月1日至2025年10月28日期间来自'英国和爱尔兰'区域的匿名事件报告数据。708家诊所报告了咬伤事件。在总共2,860份报告中,2,545份报告了其诊所名称。事件报告问题见附录1。应注意,并非所有问题都是必填项。数据清洗在R(版本4.2.2)中进行。删除重复记录,并逐题排除缺失或空值的记录。事件时间转换为标准日期时间。对于事件地点和员工角色的分析,类别被合并为相关组别。使用'dplyr'、'stringr'和'gt'包进行描述性统计,包括咬伤事件总数、咬伤影响的身体部位、伤害类型、咬伤时间和工作角色。2.2 数据分析 为分析咬伤事件的文字描述,数据按物种分为猫和犬;从调查字段'尽可能用自己的话完整描述事件'中提取自由文本回复。移除常见停用词(如'the'、'and'、'of')以减少噪音。使用R Studio包'dplyr'汇总词频,以总结最常用的单词和双词组。除描述事件外,作者还分析了描述每次咬伤事件发生时正在进行的工作类型的自由文本回复,采用与上述相同的方法。在本研究中,我们不定义咬伤,而是根据自我报告的咬伤发生认定纳入所有报告的咬伤事件。为探究咬伤事件期间动物的任何感知情绪或状态,我们手动筛选描述咬伤事件的自由文本列,并总结与动物相关的任何情绪或归因术语。这些术语包括'脾气暴躁'、'愤怒'、'攻击性'、'激动'、'恐惧'、'紧张'、'害怕'、'焦虑'、'惊慌'、'平静'、'放松'、'冲突'、'防御'、'保护'、'守卫'和'占有欲'。使用'tidytext'包识别与预定义情绪术语匹配的单词,并计算每个术语的频率。采用Spearman秩相关评估每家诊所注册猫犬数量与相应咬伤事件数量之间的关系。为检验咬伤事件地点在不同工作角色之间是否存在差异,使用卡方检验。分析仅包括临床员工(兽医和兽医护士)以及发生在诊室、犬舍区、手术室/手术区或准备区的事件。在整个分析过程中,统计显著性定义为p < 0.05,可视化使用R包'ggplot2'(17)。3 结果 2024年1月1日至2025年10月28日期间,'英国和爱尔兰'区域诊所共记录了2,420起咬伤。大多数咬伤来自猫和犬(表1)。3.1 咬伤的解剖部位 在记录了受影响身体部位的情况下,猫咬伤事件(n = 433)主要涉及手和手指,
Malkani等,10.3389/fvets.2026.1916141,《前沿兽医科学》,frontiersin.org,二者合计占所有受影响身体区域的80%以上。同样,大多数犬咬伤(n=384)涉及手和手指,占事件的63%;手臂咬伤占事件的18%(附录2)。3.2 事件描述:猫咬伤事件最常被描述为发生在处理和保定猫的过程中,手和手指是最常受影响的部位。犬咬伤事件也最常涉及手和手指受伤,并常被描述为发生在处理过程中犬只猛扑或出现反应时(图1)。3.3 所从事工作的描述:在描述咬伤事件发生时正在进行的工作时,对于猫(303条记录中提供),咬伤事件最常报告于保定和处理活动期间,包括抱持、处理和保定猫(n=27)。其他常报告的操作包括剪指甲(n=13)、采血及类似操作(n=21)和临床检查(n=17)(图2)。犬最常报告的操作(258条记录中)包括健康检查(n=9)、临床检查(n=6)和采血(n=5),以及处理与保定相关活动(n=9)(图2)。3.4 归因于动物的情绪词汇:猫(n=137)和犬(n=129)在咬伤事件中最常被描述为具有攻击性。在猫中, scared和panicked紧随aggressive之后;而在犬中,nervous和anxious是更常用的描述词(图3)。3.5 咬伤时间:大多数猫(78.0%)和犬(80.6%)的咬伤发生在上午9点至下午6点之间。两个物种均在上午10点和中午12点出现高峰,下午1点至2点之间下降。猫咬伤在下午3点达到高峰,而犬咬伤在下午2点至4点之间保持较为一致(图4)。3.6 诊所内咬伤地点:猫咬伤最常发生在诊室(49.03%),其次是准备区(29.85%)、犬舍区(16.32%)和手术室(4.53%)。犬咬伤发生在诊室的时间占52.76%,其次是准备区(25.74%)、犬舍区(16.96%)和手术室(5.45%)。在诊室中,猫和犬的咬伤均最常发生在上午9点至中午12点之间,且两个物种在诊室均在下午3点出现午后高峰。在准备室中,两个物种也最常在上午发生咬伤(图5)。3.7 诊所规模与咬伤频率:我们检验了注册患者更多的诊所是否报告更多咬伤。注册猫数量与咬伤事件之间的相关性较弱且无统计学显著性(rs=0.20,p=0.43)。同样,注册犬数量与咬伤频率无关联(rs=0.02,p=0.95)。3.8 工作角色:与兽医和支持人员相比,兽医护士报告的犬咬伤(53.36%;n=484)和猫咬伤(63.39%;n=670)比例更高(表2)。在报告的咬伤事件中,工作角色与物种之间存在显著关联(χ2=20.30;df=2;p<0.001)(表2)。关于咬伤发生地点以及专业角色是否与诊所内地点相关,工作角色与诊所内猫咬伤事件地点之间存在显著关联(χ2=124,df=3,p<0.001)。兽医在诊室经历更多咬伤,而护士在犬舍和准备区更频繁被咬。犬中也观察到相同发现(χ2=111,df=3,p<0.001)。4 讨论:本研究概述了2024年至2025年期间一家大型兽医连锁诊所报告的犬和猫咬伤事件,包括物种差异、咬伤地点、时间和专业角色。在所有记录的咬伤事件中,猫和犬造成了大多数咬伤;这与先前研究一致[例如,Tulloch等,以及Johnson和Fritschi(4,8)]。然而,本研究进一步考察了咬伤事件如何被描述、在诊所中发生的地点和时间,以及它们与专业角色的关系。本次审计的一个关键发现是,在使用情绪描述词时,最常见的反应是将猫和犬都描述为“具有攻击性”,而不是使用反映动物潜在情绪状态的术语(例如,恐惧)。这可能表明行为学知情术语的使用有限,或在识别行为的情感驱动因素和动机方面存在不确定性。这可能提示人们将攻击性视为一种固定或固有特征,而非情境依赖性行为。先前研究支持这一假设,因为Tami和Gallagher(18)发现,当向参与者展示一段玩耍性犬只咬住另一只较年轻犬只口吻部的视频时,参与者经常将该行为视为具有攻击性,尽管表1:2024年至2025年10月的咬伤事件总数。物种咬伤数百分比 猫1,239 51.20 犬1,088 44.96 啮齿动物37 1.53 其他24 0.99 鸟15 0.62 异域动物(非本国原产)7 0.29 马7 0.29 兔2 0.08 驴1 0.04 共报告2,327起犬和猫咬伤。
Malkani 等,10.3389/fvets.2026.1916141,《兽医科学前沿》,frontiersin.org,周围情境(例如,在公共公园中的首次社交互动、摇尾、耳朵向前)。本研究无法确定工作人员为何使用特定描述词,但“攻击性”一词占主导地位提示事件报告可能描述的是互动的结果而非行为背景。从行为学角度看,没有动物天生具有“攻击性”;攻击行为是正常行为库的一部分,用于增加距离并避免实际或感知到的威胁和/或身体冲突或疼痛(19, 20)。“攻击性”一词含义宽泛,在人类和动物领域内及跨领域常缺乏共识(21, 22)。因此,将动物标记为具有攻击性存在误读行为的风险,并可能导致将正常行为反应病理化。这种区分并非纯语义上的;行为的标记方式可能直接影响处置决策,并可能加剧而非减轻动物的应激。除语言误读外,兽医预先存在的偏见也可能影响风险的感知和管理方式。例如,Kogan 等(23)调查了美国兽医,强调特定品种相比其他中等风险(如杜宾犬)或低风险品种(如比格犬)更常被认为具有更高的严重咬伤风险(如松狮犬、吉娃娃)。此类偏见可能因行为培训有限和自我效能感低而得到强化。Kogan 等(24)调查了1,082名美国兽医,其中仅43.8%表示他们认为自己在兽医资格培训期间接受了关于动物行为的重要培训。此外,对爱尔兰95名兽医专业人员的研究表明,相当大比例的人对猫行为问题信心不足(25)。Catalán 等(26)还对智利兽医进行了调查,发现仅略超过半数(57.5%)能正确识别犬的非语言行为线索,尽管更高比例(66.2%)能识别语言线索。临床经验也在识别线索的能力中发挥作用;发现拥有>20年或更多经验者更能准确识别犬的行为线索(26)。提高兽医医学中行为术语的一致性和特异性可能改善同事间的沟通并促进更适当的处置决策,从而更以患者为中心并降低未来咬伤事件的风险。如果将疼痛、恐惧或挫折相关行为仅视为攻击性,可能错失识别可改变触发因素和实施预防性处置策略的机会。猫咬伤中手部和手指损伤占主导反映了在处置和保定过程中,猫可能以防御性咬伤回应,咬向最接近动物头部的工作人员手部。同样,犬咬伤在保定期间最常涉及手部和手指;然而,18%的咬伤也发生在手臂,因为在特定情况下手臂可能是更易触及的目标。这些发现与公众(27)和兽医专业人员(15)的先前经验一致,即咬伤主要发生在手、手指、腕部和手臂。例如,Catalán 等(26)发现,自报的犬咬伤受害者最常因某种形式的互动(抚摸、保定/处置犬)而被咬,最常被咬的部位是手、腕部和上肢[另见 Wake 等和 Mills(22, 28)]。在职业背景下,现有证据与本研究 somewhat 一致,因为在职业工作者中,包括犬相关(如犬舍工作人员、兽医和兽医护士)和非犬相关专业人员(如邮政工人),上肢和下肢的犬咬伤是报告最多的咬伤部位(29)。这强调需要仔细考虑人类对犬的行为、犬的病史和行为以及周围环境(30)。先前研究已探索兽医诊疗期间的处置。例如,最近 Cisneros 等(31)探究了与五种强度递增的不同处置和保定方法相关的行为(如舔唇、打哈欠、发声、试图逃跑)和生理(心率、呼吸和体温)指标。他们发现,采用最限制性技术即全身保定的犬相比最不限制的被动保定方法发声显著更多。他们还发现,被动保定期间的恐惧评分显著低于所有其他处置方法。同样,低应激处置 图1 描述咬伤事件时最常用的二元词组[橙色=猫(n=962),粉色=犬(n=823)]。
Malkani 等,10.3389/fvets.2026.1916141,《兽医科学前沿》,frontiersin.org,同事并促进更适当的处置决策,从而更以患者为中心并降低未来咬伤事件的风险。如果将疼痛、恐惧或挫折相关行为仅视为攻击性,可能错失识别可改变触发因素和实施预防性处置策略的机会。猫咬伤中手部和手指损伤占主导反映了在处置和保定过程中,猫可能以防御性咬伤回应,咬向最接近动物头部的工作人员手部。同样,犬咬伤在保定期间最常涉及手部和手指;然而,18%的咬伤也发生在手臂,因为在特定情况下手臂可能是更易触及的目标。这些发现与公众(27)和兽医专业人员(15)的先前经验一致,即咬伤主要发生在手、手指、腕部和手臂。例如,Catalán 等(26)发现,自报的犬咬伤受害者最常因某种形式的互动(抚摸、保定/处置犬)而被咬,最常被咬的部位是手、腕部和上肢[另见 Wake 等和 Mills(22, 28)]。在职业背景下,现有证据与本研究 somewhat 一致,因为在职业工作者中,包括犬相关(如犬舍工作人员、兽医和兽医护士)和非犬相关专业人员(如邮政工人),上肢和下肢的犬咬伤是报告最多的咬伤部位(29)。这强调需要仔细考虑人类对犬的行为、犬的病史和行为以及周围环境(30)。先前研究已探索兽医诊疗期间的处置。例如,最近 Cisneros 等(31)探究了与五种强度递增的不同处置和保定方法相关的行为(如舔唇、打哈欠、发声、试图逃跑)和生理(心率、呼吸和体温)指标。他们发现,采用最限制性技术即全身保定的犬相比最不限制的被动保定方法发声显著更多。他们还发现,被动保定期间的恐惧评分显著低于所有其他处置方法。同样,低应激处置 图2 描述咬伤事件期间所进行工作时最常用的二元词组[橙色=猫(n=1,057),粉色=犬(n=907)]。
Malkani等 10.3389/fvets.2026.1916141 Frontiers in Veterinary Science06frontiersin.org 与常规处置程序相比,干预措施也被发现可在四次兽医就诊过程中降低皮质醇水平(32)。这表明,限制性更强的处置方法可能增加应激相关行为,从而可能增加被咬伤的可能性。因此,旨在减少兽医诊所应激体验的举措,如犬类[例如Dog Trust(33)]和猫友好诊所计划[例如International Cat Care(34)],可能对降低诊所内咬伤风险具有显著效果。关于事件发生的时间,两种物种均呈现明显的双峰趋势,大多数咬伤发生在上午9点至下午6点之间,高峰约在上午10点、中午12点和下午3点。这些结果与先前探讨英国兽医诊所伴侣动物工作人员和客户受伤情况的研究一致(9)。这些时间对应于临床活动典型的高峰时段,提示工作负荷强度可能影响咬伤风险。中午前后的高峰可能与繁忙门诊时段的工作流程有关。然而,由于未测量人员配置水平、预约安排和工作负荷,本审计无法确定原因。有趣的是,尽管咬伤频率增加似乎与诊所内病例处理量较大的时段相关,但我们未发现注册犬猫数量与咬伤报告频率之间存在显著关系。这表明咬伤风险可能并非本质上受诊所群体层面患者量的影响,而是其他与人相关的因素,如工作人员经验和沟通技巧、人动物互动(即处置技术)以及诊所环境,可能更有可能在咬伤事件中发挥影响作用。也可能注册患者数量并非工作负荷的良好替代指标,因为它未考虑就诊频率、病例复杂性、人员配置水平或动物处置互动次数。需要纳入临床工作负荷测量与人因素的研究,以更好地理解咬伤事件的决定因素。位置数据进一步表明,大多数咬伤发生在诊室,其次是准备区和犬舍区,与先前研究相似(4)。兽医更可能在诊室被咬伤,而护士更常在犬舍和准备区被咬伤。这种基于诊所位置的咬伤频率差异可能提示,对于咬伤和其他伤害,预防策略不仅需要针对物种,还需要针对与不同角色相关的特定临床任务和环境。兽医经常在诊室内进行体格检查和操作,护士可能更频繁地在病房和准备区处置住院患者,包括检查、给药和实施操作。这些特定互动可能增加与经历疼痛、恐惧、焦虑或挫败的动物接触的可能性,所有这些都有可能促成防御和保护行为。从安全角度来看,更加重视处置前的行为评估、团队成员之间对已识别风险的沟通,以及实施物种适宜的低应激处置方法,可能有助于预防或减轻咬伤风险(35)。本审计基于回顾性事件报告,其固有局限性在于报告时记录信息的准确性和完整性。由于数据为横断面数据,无法进行因果性评估。为捕获所有伤害类型和严重程度,未纳入伤害的具体定义,如犬咬伤,因此可能具有主观性(例如,什么构成犬咬伤可能因人而异[见Oxley等(10)])。尽管可以假定,伤害报告足以纳入显著伤害,例如犬咬伤可能导致骨折至 FIGURE 4 犬(n = 907)和猫咬伤事件(n = 1,057)的时间。
Malkani等 10.3389/fvets.2026.1916141 Frontiers in Veterinary Science07frontiersin.org 被咬伤,而护士更常在犬舍和准备区被咬伤。这种基于诊所位置的咬伤频率差异可能提示,对于咬伤和其他伤害,预防策略可能不仅需要针对物种,还需要针对与不同角色相关的特定临床任务和环境。兽医经常在诊室内进行体格检查和操作,护士可能更频繁地在病房和准备区处置住院患者,包括检查、给药和实施操作。这些特定互动可能增加与经历疼痛、恐惧、焦虑或挫败的动物接触的可能性,所有这些都有可能促成防御和保护行为。从安全角度来看,更加重视处置前的行为评估、团队成员之间对已识别风险的沟通,以及实施物种适宜的低应激处置方法,可能有助于预防或减轻咬伤风险(35)。本审计基于回顾性事件报告,其固有局限性在于报告时记录信息的准确性和完整性。由于数据为横断面数据,无法进行因果性评估。为捕获所有伤害类型和严重程度,未纳入伤害的具体定义,如犬咬伤,因此可能具有主观性(例如,什么构成犬咬伤可能因人而异[见Oxley等(10)])。尽管可以假定,伤害报告足以纳入显著伤害,例如犬咬伤可能导致骨折至 FIGURE 4 犬(n = 907)和猫咬伤事件(n = 1,057)的时间。
Malkani 等。10.3389/fvets.2026.1916141 Frontiers in Veterinary Science08frontiersin.org 皮肤。进一步更新和改进数据报告将有助于确保数据更准确。此外,这些数据未涵盖咬伤事件后的长期结局,包括所给予的医疗处理、长期心理影响,或咬伤事件后诊所内工作实践的变化。本研究的数据大致覆盖英国和爱尔兰,但不包括按地理位置划分的细分数据。这是一个可纳入未来工作的领域,以识别伤害及其与地方和国家人口学因素的关系。这些数据来自英国的一个兽医集团,这可能限制其对所有英国小动物诊所的普遍适用性。未来的前瞻性研究可通过在每次事件发生时收集标准化数据来解决这些局限性,包括背景因素,如动物的病史、提示疼痛、恐惧焦虑或应激的体征,以及正在执行的具体操作。纳入所使用操作方法、工作人员 FIGURE 5 按时间划分的诊所内咬伤事件发生地点 [猫(红色)(n = 1,016);犬(蓝色)(n = 783)]。
Malkani等 10.3389/fvets.2026.1916141 Frontiers in Veterinary Science 09 frontiersin.org 处理动物行为时的信心和对动物行为的理解也将为导致咬伤的人为因素提供定性见解。更全面地理解动物和人类相关因素对于制定有效、循证的策略以降低咬伤风险并提高兽医诊所内的安全性至关重要。数据可用性声明 本研究分析的数据受以下许可/限制约束:自我报告的健康与安全数据仅限于IVC Evidensia员工。访问这些数据集的请求应发送至rachel.malkani@ivcevidensia.com。伦理声明 根据当地法规和机构要求,涉及人类的研究无需伦理批准。根据国家法规和机构要求,本研究无需参与者或参与者的法定监护人/近亲属提供书面知情同意。作者贡献 RM:数据管理、方法学、概念化、形式分析、写作——审阅与编辑、写作——原稿。DS:写作——审阅与编辑。DM:写作——审阅与编辑。MV:写作——审阅与编辑。LP:写作——审阅与编辑。MC:写作——审阅与编辑。JO:写作——审阅与编辑、概念化、写作——原稿。资助 作者声明本工作和/或其发表获得了财务支持。本文的开放获取发表由IVC Evidensia研究基金资助。利益冲突 作者声明本工作是在不存在任何可被解释为潜在利益冲突的商业或财务关系的情况下进行的。生成式人工智能声明 作者声明本手稿的创作未使用生成式人工智能。本文图表中提供的任何替代文本(alt text)均由Frontiers在人工智能支持下生成,并已尽合理努力确保准确性,包括在可能的情况下由作者审阅。如果您发现任何问题,请联系我们。出版商注 本文中表达的所有主张仅为作者的观点,不一定代表其所属组织、出版商、编辑和审稿人的观点。本文中可能评估的任何产品或其制造商可能做出的任何声明均不受出版商保证或认可。补充材料 本文的补充材料可在线获取:https://www.frontiersin.org/articles/10.3389/fvets.2026.1916141/full#supplementary-material 参考文献 1. Nordgren LD, Gerberich SG, Alexander BH, Church TR, Bender JB, Ryan AD. 与明尼苏达州认证兽医技术员工作相关伤害相关因素的评估。J Am Vet Med Assoc. (2024) 245:425–33. doi: 10.2460/javma.245.4.425 2. DVM 360 (2020). 咬伤、抓伤及其他:受伤不在你的工作描述中。可在线获取:https://www.dvm360.com/view/bites-scratches-and-beyondgetting-hurt-is-not-in-your-job-description(访问日期:2026年5月12日) 3. Furtado T, Whiting M, Schofield I, Jackson R, Tulloch JS. 疼痛、不便与责备:定义兽医工作场所的工作相关伤害。Occup Med. (2024) 74:501–7. doi: 10.1093/occmed/kqae068 4. Tulloch JS, Schofield I, Jackson R, Whiting M. 只是工作的一部分——理解伴侣动物兽医实践中的工作相关伤害和安全文化。J Small Anim Pract. (2026) 67:212–26. doi: 10.1111/jsap.70039 5. Poole AG, Shane SM, Kearney MT, Rehn W. 伴侣动物实践中的职业危害调查。J Am Vet Med Assoc. (1998) 212:1386–8. doi: 10.2460/javma.1998.212.09.1386 6. Phillips M, Jeyaretnam J, Jones H. 兽医中的疾病和伤害。Aust Vet J. (2000) 78:625–9. doi: 10.1111/j.1751-0813.2000.tb11939.x 7. Fritschi L, Day L, Shirangi A, Robertson I, Lucas M, Vizard A. 澳大利亚兽医的伤害。Occup Med. (2006) 56:199–203. doi: 10.1093/occmed/kqj037 表2 按专业角色划分的犬和猫咬伤事件比例。专业角色 猫咬伤(%) 犬咬伤(%) 兽医 32.82 41.56 护士 63.38 53.36 支持人员 3.78 5.07
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Frontiers in Veterinary Science01frontiersin.org Epidemiology of voluntarily reported dog and cat bite incidents in a large-scale, multi-site veterinary network in the UK and Ireland Rachel Malkani *, David Singleton , David Martin , Marian Vinke , Laura Playforth , Michaela Collis and James A. Oxley IVC Evidensia, Bristol, United Kingdom Introduction: Dog and cat bites are an occupational risk within veterinary practise. Despite this, there is minimal research exploring the occurrence and details surrounding such incidents. Methods: The aim of this study was to use a large veterinary group’s existing incident and near miss reporting system in the UK to explore the incidence of dog and cat bite reporting and surrounding details of such incidents. Results: Dog and cat bite incidents were identified from January 2024 to October 2025 covering all clinics in the UK and Ireland (>1,000). A total of 2,327 dog (1,239; 53.24%) and cat (1,088; 46.76%) bites were reported. The most common anatomical bite location was reported to be the hands and fingers for both dog (63.0%) and cat (80.6%) bites. The majority of bites for cats (77.96%) and dogs (80.60%) occurred between 9 a.m. and 6 p.m. Location of in-clinic bites differed between staff, with the veterinarians most commonly bitten in the consult room and non-veterinarians most often bitten in the preparation area. Regarding perceived behaviour, the term ‘aggression’ was most frequently used in reports. Conclusion: In conclusion, this report highlights the common occurrence of dog and cat bite related injuries, providing insights into surrounding factors. Factors need to be considered to reduce bites such as low stress handling, environment adaption and encouraging advancement of knowledge of animal behaviour. More needs to be done to help the reporting of incidents, incorporate human behaviour change approach and education to prevent bite incidents. KEYWORDS bite, cat, dog, injury, safety, veterinary 1 Introduction Injuries within the veterinary profession are commonplace to the extent that such incidents are often regarded by veterinary staff as the norm, expected, or a ‘part of the job’ (1–4). Of the animal related injuries to veterinary staff, dog and cat bites are consistently reported as the most common across multiple countries [e.g., UK (4), US (5), Australia (6–8)]. In the UK, Tulloch et al. (4) surveyed 647 veterinary professionals from a large chain of veterinary clinics and found that the most common recent and severe animal injuries experienced by both veterinary nurses and veterinary surgeons were dog and cat bites. Despite this, more recently, Tulloch et al. (9) audited a large veterinary chain’s accident reporting system and found that in the UK TYPE Original Research PUBLISHED 06 October 2026 DOI 10.3389/fvets.2026.1916141 OPEN ACCESS EDITED BY Grace A. Carroll, Queen’s University Belfast, United Kingdom REVIEWED BY Oneida Castañeda-Porras, SMC-AS Unidad de Investigaciones, Colombia Imen Mehri Turki, Trauma and Burn Center, Tunisia Natalia Casas, Ministry of Health (Argentina), Argentina *CORRESPONDENCE Rachel Malkani rachel.malkani@ivcevidensia.com RECEIVED 22 June 2026 REVISED 11 September 2026 ACCEPTED 21 September 2026 PUBLISHED 06 October 2026 CITATION Malkani R, Singleton D, Martin D, Vinke M, Playforth L, Collis M and Oxley JA (2026) Epidemiology of voluntarily reported dog and cat bite incidents in a large-scale, multi-site veterinary network in the UK and Ireland. Front. Vet. Sci. 13:1916141. doi: 10.3389/fvets.2026.1916141 COPYRIGHT © 2026 Malkani, Singleton, Martin, Vinke, Playforth, Collis and Oxley. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
Malkani et al. 10.3389/fvets.2026.1916141 Frontiers in Veterinary Science02frontiersin.org that most injuries (69 for every 100) went unreported, highlighting the need for further research, education, behaviour change and training. This underreporting suggests that the true bite frequency and characteristics of injuries may be incompletely understood. The direct impact of dog bite injuries, depending on the definition or perception and context of a bite/injury (3, 10, 11), can vary from minor injury (bruising to the skin) to serious or fatal injuries (12, 13). Dog bite injuries to veterinary team members can also result in time off work, loss of income, legal implications, and/or effect on mental health (e.g., trauma, loss of confidence, increased anxiety/fear) (4, 14). These impacts highlight the importance of understanding not only the occurrence of bite incidents, but also the context in which they arise. Various animal, procedural and human factors are likely to increase bite injury risk to veterinary team members within the clinic. Firstly, a dog may attend in a fearful or painful state even before entering the consultation room (11). Whilst in the consultation room, a close (e.g., physical checkup, handling/restraint) and/or invasive procedure (e.g., blood draw, anaesthesia, muzzling) may be needed, causing fear, stress and/or pain, potentially further increasing bite injury risk (11). Furthermore, staff with less experience of animals have been found to be at increased risk of dog bite and animal-related injury (7, 15). A range of measures can be taken to help mitigate the risk of dog and cat bite injuries, such as improvement in understanding of animal behaviour and body language, ensuring reduced environmental stressors in waiting rooms and consultation rooms (such as noise, odours, flooring etc.), avoiding close intraspecific animal interactions in the waiting rooms (e.g., design), and using appropriate handling/restraint methods, including protection equipment such as muzzles and wraps (16). However, with considerable individual variation between each animal, and without the ability to directly determine their experience, it is difficult to identify a single cause for a bite. Instead, the cumulative impact of multiple stressors is likely important, with thresholds for biting varying between context and arousal levels. Despite the frequency of dog and cat bites in veterinary practise, there is limited research focusing solely on dog and cat bite occurrence within the veterinary profession. Therefore, the authors aimed to review dog and cat bites reports submitted by veterinary team members that have been collated through a large veterinary chains incident and near miss reporting system. More specifically, using both quantitative and qualitative methods, we aimed to understand the team member role involved, time and location of the incident, procedure being undertaken during the incident, and the language used to describe the behaviour of the animal by team members. Finally, based on the findings, the authors also recommend future changes to the reporting system to improve reporting, and discuss additional information to encourage the reporting of injuries at clinic level. Additionally, we also make recommendations about the need for the advancement of knowledge in animal behaviour, low stress handling methods and adaptation to the environment(s). 2 Materials and methods 2.1 Injury data Anonymised incident report data from the ‘UK and Ireland’ region were downloaded from the veterinary chain’s reporting site ‘Assure’ (Version: 36.2.473.0) from 01/01/2024 to 28/10/2025 708 clinics reported bite incidents. Out of a total of 2,860 reports, 2,545 reported their clinic name. The incident report questions can be found in Appendix 1. It should be noted that not all questions are mandatory to be completed. Data cleaning were conducted in R (version 4.2.2). Duplicate records were removed and records with missing or empty values were excluded on a question-by-question basis. Incident times were converted into standard date-time. For analysis of incident location and staff role, categories were consolidated into relevant groups. Descriptive statistics including the total number of bite incidents, what part of the body was affected from a bite, injury type, time of bites, and job role were undertaken using the “dplyr,” “stringr,” and “gt” package. 2.2 Data analysis To analyse the written descriptions of bite incidents, data were filtered by species into cats and dogs; free-text responses were extracted from the survey field “Describe the incident as fully as possible in your own words”. Common stop words (e.g., “the,” “and,” “of ”) were removed to reduce noise. Word frequencies were summarised using the R Studio package “dplyr” to summarise the most commonly used words and bigrams. In addition to describing the incident, the authors also analysed free-text responses describing the type of work being carried out at the time of each bite incident, taking the same approach as described above. In the present study we do not define a bite and include all reported bite incidents based on self-reported identification of a bite having taken place. To explore any perceived emotions or states of the animal during the bite incident, we manually screened the free text column describing the bite incident and summarised any emotional or attributable terms associated with the animal. These were “grumpy,” “angry,” “aggressive,” “agitated,” “fearful,” “nervous,” “scared,” “anxious,” “panicked,” “calm,” “relaxed,” “conflict,” “defensive,” “protective,” “guarding” and “possessive.” Using the “tidytext” package, words matching the predefined emotional terms were identified and the frequency of each term was calculated. Spearman’s rank correlation was used to assess the relationship between the number of registered cats and dogs per clinic and the corresponding number of bite incidents. To examine whether the location of bite incidents differed between job roles, chi-squared tests were used. The analysis included only clinical staff (veterinary surgeons and veterinary nurses) and incidents that occurred in the consult room, kennel area, theatre/surgical area, or preparation area. Throughout this analysis, statistical significance was defined as p < 0.05 and for visualisations, the R package “ggplot2” was used (17). 3 Results There were 2,420 bites recorded across the ‘UK and Ireland’ region clinics between 01/01/2024 and 28/10/2025. The majority of bites were from cats and dogs (Table 1). 3.1 Anatomical location of the bite Where the affected body part was recorded, cat bite incidents (n = 433) predominantly involved the hands and fingers, which
Malkani et al. 10.3389/fvets.2026.1916141 Frontiers in Veterinary Science03frontiersin.org together represented more than 80% of all affected body areas. Similarly, most dog bites (n = 384) involved the hands and fingers, accounting for 63% of incidents; bites to the arm represented 18% of incidents (Appendix 2). 3.2 Description of incident Cat bite incidents were most commonly described during the handling and restraint of cats, with hands and fingers being the body parts most frequently affected. Dog bite incidents also most frequently involved injuries to the hands and fingers and were commonly described as occurring when dogs lunged or reacted during handling (Figure 1). 3.3 Description of work being undertaken When describing the work being carried out at the time of the bite incident, for cats (provided in 303 records), bite incidents were most frequently reported during restraint and handling activities, including holding, handling and restraining the cat (n = 27). Other commonly reported procedures included nail clipping (n = 13), blood sampling and similar (n = 21), and clinical examinations (n = 17) (Figure 2). The most commonly reported procedures for dogs (in 258 records) included health checks (n = 9), clinical examinations (n = 6), and blood sampling (n = 5), alongside handling and restraint related activities (n = 9) (Figure 2). 3.4 Emotional words attributed to the animal Cats (n = 137) and dogs (n = 129) were most commonly described as being aggressive during the bite incident. The terms scared and panicked followed aggressive in cats; whereas, nervous and anxious were more common words used to describe dogs (Figure 3). 3.5 Time of bite The majority of bites in cats (78.0%) and dogs (80.6%) occurred between 9 a.m. and 6 p.m. Both species had peaks at 10 a.m. and again at 12 p.m., with a decrease between 1 p.m. and 2 p.m. Cat bites peaked at 3 p.m., whereas dog bites remained more consistent between 2 p.m. and 4 p.m. (Figure 4). 3.6 Location of bite in clinics Cat bites occurred most often in the consult room (49.03%), followed by the preparation area (29.85%), kennel area (16.32%), and theatre (4.53%). Dog bites occurred in the consult room 52.76% of the time, followed by the preparation area (25.74%), kennel area (16.96%), and theatre (5.45%). In the consult room, bites occurred most frequently between 9 a.m. and 12 p.m. in both cats and dogs, and both species had afternoon peaks at 3 p.m. in the consult room. Bites were also most frequently experienced in the morning in the preparation room across both species (Figure 5). 3.7 Clinic size and bite frequency We examined if clinics with more registered patients reported more bites. The correlation between the number of registered cats and bite incidents was weak and not statistically significant (r s = 0.20, p = 0.43). Similarly, the number of registered dogs showed no association with bite frequency (r s = 0.02, p = 0.95). 3.8 Job role There were a higher proportion of bites reported by veterinary nurses for dog (53.36%; n = 484) and cat (63.39%; n = 670) bites compared to veterinarians and support staff (Table 2). A significant association was found between job role and species in reported bite incidents (χ 2 = 20.30; df = 2; p < 0.001) (Table 2). Regarding where the bites occurred and if professional role was associated with location in clinic, there was a significant association between job role and the location of cat bite incidents in clinics (χ 2 = 124, df = 3, p < 0.001). Vets experienced more bites in consult rooms, whereas nurses were bitten more frequently in kennels and preparation areas. The same finding was seen in dogs (χ 2 = 111, df = 3, p < 0.001). 4 Discussion This study provides an overview of dog and cat bite incidents reported across a large veterinary chain practises during 2024 and 2025, including species differences, bite locations, timing, and professional role. Across the recorded bite incidents, cats and dogs were responsible for the majority of bites; this is consistent with previous research [e.g., Tulloch et al., and Johnson and Fritschi (4, 8)]. However, this research further examined how bite incidents are described, where and when they occur in clinics, and how they relate to professional roles. A key finding of this audit was that where emotional descriptors were used, the most common response described both cats and dogs as “aggressive,” rather than using terms that reflect the animals’ underlying emotional states (e.g., fearful). It may indicate the limited use of behaviourally informed terminology or uncertainty in recognising the emotional drivers and motivations for behaviour. This potentially suggests that people perceive aggression as a fixed or inherent trait, rather than a context-dependent behaviour. Previous research supports this assumption, as Tami and Gallagher (18) found that when showed a video of a playful dog biting the muzzle of a younger dog, participants frequently regarded the behaviour as aggressive despite the TABLE 1 Total number of bite incidents in 2024 and up to October 2025. SpeciesBite countPercentage Cat1,23951.20 Dog1,08844.96 Rodent371.53 Other240.99 Bird150.62 Exotic (not native to country)70.29 Horse70.29 Rabbit20.08 Donkey10.04 A total of 2,327 dog and cat bites were reported.
Malkani et al. 10.3389/fvets.2026.1916141 Frontiers in Veterinary Science04frontiersin.org surrounding context (e.g., first social interaction in a public park, tail wagging, ears forward). This study cannot determine why staff used particular descriptors, but the predominance of the term “aggressive” suggests that incident reporting may describe the outcome of the interaction versus the behavioural context. From an ethological perspective, no animal is inherently “aggressive”; aggressive behaviours are part of a normal behavioural repertoire used to increase distance and avoid actual or perceived threats and/or physical conflict or pain (19, 20). The term “aggression” is broad and often lacks agreement within and across both the human and animal field (21, 22). Therefore, labelling animals as aggressive risks misinterpreting behaviour and could contribute to pathologising normal behavioural responses. This distinction is not purely semantic; how behaviour is labelled may directly influence handling decisions and may escalate rather than mitigate stress in the animal. In addition to language misinterpretation, pre-existing veterinarian biases may also influence how risk is perceived and managed. For example, Kogan et al. (23) surveyed US veterinarians and highlighted that specific breeds were more frequently perceived to be at a higher risk of a serious bite (e.g., Chow Chow, Chihuahua) in comparison to other moderate (e.g., Doberman) or low risk breeds (e.g., Beagle). Such biases may be reinforced via limited behaviour training and low perceived self-confidence. Kogan et al. (24) surveyed 1,082 US veterinarians, of which only 43.8% stated that they felt they had received significant training on animal behaviour during their veterinary qualification. Further, research of 95 veterinary professionals in Ireland indicated that a substantial proportion have a low level of confidence regarding feline behaviour problems (25). Catalán et al. (26) also conducted a survey of Chilean veterinarians and found that just over half (57.5%) could correctly recognise non-verbal behavioural cues in dogs, though a higher proportion (66.2%) were able to recognise verbal cues. Clinical experience also played a role in the ability to recognise cues; those with >20 years or more experience were found to be more able to accurately identify behavioural cues in dogs (26). Improving the consistency and specificity of behavioural terminology in veterinary medicine may improve communication between FIGURE 1 Most common bigrams used when describing a bite incident [orange = cats (n = 962), pink = dogs (n = 823)].
Malkani et al. 10.3389/fvets.2026.1916141 Frontiers in Veterinary Science05frontiersin.org colleagues and facilitate more appropriate handling decisions, thus being more patient-centric and reducing the risk of future bite incidents. If pain, fear, or frustration related behaviours are considered simply as aggression, opportunities to identify modifiable triggers and implement preventative handling strategies may be missed. The predominance of hand and finger injuries from cat bites reflects that during handling and restraint, cats may respond with defensive bites directed towards the handler’s hands, which are closest to the animal’s head. Similarly, dog bites most frequently involved the hands and fingers during restraint; however, 18% of bites were also to the arms as this may be a more accessible target in particular situations. These findings are consistent with the public (27) and veterinary professionals (15) prior experience, where bites predominantly occur on the hands, fingers, wrists, and arms. For example, Catalán et al. (26) found that self-reported dog bite victims were most commonly bitten due to some form of interaction (stroking, restraining/handling the dog), and the locations where they were most commonly bitten were the hand, wrists and upper extremities [also see Wake et al., and Mills (22, 28)]. Within an occupational context, existing evidence is somewhat consistent with the present study, as dog bites to the upper and lower extremities were the most reported bite locations amongst occupational workers, including both dog (e.g., kennel workers, veterinarians and veterinary nurses) and non-dog professionals (e.g., postal workers) (29). This highlights that human behaviour towards the dog, the dog’s history and behaviour, and the surrounding environment needs careful consideration (30). Previous research has explored handling during veterinary consultations. For example, recently, Cisneros et al. (31) explored behavioural (e.g., lip licking, yawning vocalising, attempting to escape) and physiological (heart, respiration and body temperature) measures in relation to five different handling and restraint methods, each of increasing intensity. They found that dogs in the most restrictive technique, the full body hold, vocalised significantly more when compared to the least restrictive passive restraint method. They also found that fear scores were significantly lower during the passive restraint compared to all other handling methods. Similarly, low stress handling FIGURE 2 Most common bigrams used when describing the work being carried out during the bite incident [orange = cats (n = 1,057), pink = dogs (n = 907)].
Malkani et al. 10.3389/fvets.2026.1916141 Frontiers in Veterinary Science06frontiersin.org interventions has also been found to reduce cortisol over four veterinary visits, in comparison to routine handling procedures (32). This suggests that more restrictive handling methods may increase stressrelated behaviours, which could increase the likelihood of a bite. Initiatives like the dog [e.g., Dog Trust (33)] and cat friendly clinic schemes [e.g., International Cat Care (34)], which aim to reduce the stress experience in the veterinary clinic, may therefore prove impactful for reducing bite risk in-clinic. Regarding time of day the incident occurred, both species showed a clear bimodal trend, with most bites occurring between 9 a.m. and 6 p.m., with peaks around 10 a.m., 12 p.m., and 3 p.m. These results are consistent with previous research exploring injuries to companion animal staff and clients at UK veterinary practises (9). These times correspond to typical periods of high clinical activity, suggesting that workload intensity may influence the risk of bites. The peak around midday may be related to workflow during busy consultation periods. However, because staffing levels, appointment schedules and workload were not measured, the reasons cannot be determined from this audit. Interestingly, although increased bite frequency appeared to correlate against times of greater case throughput within a clinic, we did not find a significant relationship between the number of registered cats and dogs and bite report frequency. This suggests that bite risk may not be intrinsically influenced by patient load on a clinic population level, but instead that other human-related factors such as staff experience and communication skills, human animal interactions (i.e., handling techniques), and the clinic environment may be more likely to have an influential role in bite incidents. It may also be that the number of registered patients is not a good proxy for workload, as it does not account for consultation frequency, case complexity, staffing levels, or the number of animal handling interactions. Studies incorporating measures of clinical workload alongside human factors are needed to better understand the determinants of bite incidents. The location data further demonstrates that most bites occurred in consult rooms, followed by preparation and kennel areas, similar to previous research (4). Veterinary surgeons were more likely to be FIGURE 3 Frequency of emotional terms used to describe the dog or cat during the bite incident [orange = cats (n = 137), pink = dogs (n = 129)].
Malkani et al. 10.3389/fvets.2026.1916141 Frontiers in Veterinary Science07frontiersin.org bitten in consult rooms whereas nurses were more often bitten in kennels and preparation areas. This variation in bite frequency based on location in clinic may suggest that for bites and other injuries, prevention strategies may need to be tailored not only to species but also to the specific clinical tasks and environments associated with different roles. Veterinary surgeons frequently perform physical examinations and procedures within consult rooms and nurses may more frequently handle hospitalised patients in wards and preparation areas, including examination, administering treatments, and undertaking procedures. These specific interactions may increase the likelihood of contact with animals experiencing pain, fear, anxiety, or frustration, all of which have the potential to contribute to defensive and protective behaviour. From a safety perspective, a greater emphasis on behavioural assessment prior to handling, communication of identified risks between team members, and the implementation of species-appropriate, low-stress handling approaches may help to prevent or mitigate the risk of bites (35). This audit was based on retrospective incident reports, which are inherently limited by the accuracy and completeness of the information recorded at the time of the report. As the data are cross-sectional, this prevents any evaluation of causality. To capture all injury types and severities, specific definition of injuries was not included, such as dog bites and therefore may be subjective (e.g., what may constitute a dog bite may vary [see Oxley et al. (10)]). Although, it could be assumed that the reporting of an injury would be sufficient to include a significant injury, for example, a dog bite may result in break to the FIGURE 4 Time of dog (n = 907) and cat bite incidents (n = 1,057).
Malkani et al. 10.3389/fvets.2026.1916141 Frontiers in Veterinary Science08frontiersin.org skin. Further work to update and improve data reporting would be useful to ensure more accurate data. Additionally, these data do not capture longer-term outcomes following bite incidents, including medical treatment given, longer term psychological impact, or changes in working practises within-clinic following a bite incident. The data in this study broadly cover the United Kingdom and Ireland but does not include a breakdown by geographical location. This is an area that could be incorporated into future work to identify injuries and how these relate to local and national demographic factors. These data are from a single veterinary group within the UK, which may limit generalisability to all UK small animal clinics. Future prospective studies could address these limitations by collecting standardised data at the time of each incident, including contextual factors such as the animal’s history, signs indicative of pain, fear anxiety or stress, and the specific procedures being performed. Incorporating measures of handling method used, staff FIGURE 5 Location in clinic where bite incidents occurred by time [cats (red) (n = 1,016); dogs (blue) (n = 783)].
Malkani et al. 10.3389/fvets.2026.1916141 Frontiers in Veterinary Science09frontiersin.org confidence in handling and the understanding of animal behaviour would also provide qualitative insight into human factors contributing to bites. A more comprehensive understanding of both animal and human-related factors is vital for developing effective, evidencebased strategies to reduce bite risks and improve safety within veterinary clinics. Data availability statement The data analyzed in this study is subject to the following licences/ restrictions: Self-reported health and safety data restricted to IVC Evidensia employees. Requests to access these datasets should be directed to rachel.malkani@ivcevidensia.com. Ethics statement Ethical approval was not required for the study involving humans in accordance with the local legislation and institutional requirements. Written informed consent to participate in this study was not required from the participants or the participants’ legal guardians/next of kin in accordance with the national legislation and the institutional requirements. Author contributions RM: Data curation, Methodology, Conceptualization, Formal analysis, Writing – review & editing, Writing – original draft. DS: Writing – review & editing. DM: Writing – review & editing. MV: Writing – review & editing. LP: Writing – review & editing. MC: Writing – review & editing. JO: Writing – review & editing, Conceptualization, Writing – original draft. Funding The author(s) declared that financial support was received for this work and/or its publication. The open access publication of this article was supported by the IVC Evidensia Research Fund. Conflict of interest The author(s) declared that this work was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. Generative AI statement The author(s) declared that Generative AI was not used in the creation of this manuscript. Any alternative text (alt text) provided alongside figures in this article has been generated by Frontiers with the support of artificial intelligence and reasonable efforts have been made to ensure accuracy, including review by the authors wherever possible. If you identify any issues, please contact us. Publisher’s note All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher. Supplementary material The Supplementary material for this article can be found online at: https://www.frontiersin.org/articles/10.3389/fvets.2026.1916141/ full#supplementary-material References 1. Nordgren LD, Gerberich SG, Alexander BH, Church TR, Bender JB, Ryan AD. Evaluation of factors associated with work-related injuries to veterinary technicians certified in Minnesota. J Am Vet Med Assoc. (2024) 245:425–33. doi: 10.2460/javma.245. 4.425 2. DVM 360 (2020). Bites, scratches and beyond: getting hurt is not in your job description. Available online at: https://www.dvm360.com/view/bites-scratches-and-beyondgetting-hurt-is-not-in-your-job-description (Accessed May 12, 2026) 3. Furtado T, Whiting M, Schofield I, Jackson R, Tulloch JS. Pain, inconvenience and blame: defining work-related injuries in the veterinary workplace. Occup Med. (2024) 74:501–7. doi: 10.1093/occmed/kqae068 4. Tulloch JS, Schofield I, Jackson R, Whiting M. Just part of the job’–understanding work-related injuries and safety culture in companion animal veterinary practices. J Small Anim Pract. (2026) 67:212–26. doi: 10.1111/jsap.70039 5. Poole AG, Shane SM, Kearney MT, Rehn W. Survey of occupational hazards in companion animal practices. J Am Vet Med Assoc. (1998) 212:1386–8. doi: 10.2460/ javma.1998.212.09.1386 6. Phillips M, Jeyaretnam J, Jones H. Disease and injury among veterinarians. Aust Vet J. (2000) 78:625–9. doi: 10.1111/j.1751-0813.2000.tb11939.x 7. Fritschi L, Day L, Shirangi A, Robertson I, Lucas M, Vizard A. Injury in Australian veterinarians. Occup Med. (2006) 56:199–203. doi: 10.1093/occmed/kqj037 TABLE 2 Proportion of dog and cat bite incidents by professional role. Professional roleCat bite (%)Dog bite (%) Veterinarian32.8241.56 Nurse63.3853.36 Support staff3.785.07
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